NPIMap

Organization Active NPI

Novos Behavioral Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1952931743
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NOVOS BEHAVIORAL HEALTH CENTER INC
Practice address
2103 Coral Way Ste 604
Miami, FL 33145-2656
Phone
(786) 464-0353
Fax
(786) 483-8142
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Josue Rodriguez
Title
Vice President
Phone
(786) 451-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2103 Coral Way Ste 604
Miami, FL 33145-2656

Mailing address

2103 Coral Way Ste 603
Miami, FL 33145-2656
Phone (786) 464-0353

Other identifiers 1

IdentifierTypeStateIssuer
105357500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200730000124 FL Part B Supplier - Clinic/Group Practice 9133544752 Receives reassigned benefits from 4 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Novos Behavioral Health Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1710 NW 7th St
Ste 567
Miami, FL 33125

2103 Coral Way
Ste 603604
Miami, FL 33145
Phone (786) 614-8942

1710 NW 7th St
#567
Miami, FL 33125
Phone (786) 464-0353

561 NE 79th St
Ste 375
Miami, FL 33138
Phone (786) 409-2568

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1952931743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 CORAL WAY STE 603",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452656",
            "telephone_number": "786-464-0353",
            "fax_number": "786-483-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 CORAL WAY STE 604",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452656",
            "telephone_number": "786-464-0353",
            "fax_number": "786-483-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVOS BEHAVIORAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "786-451-3040"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105357500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.